Limits...
Local control of giant cell tumors of the long bone after aggressive curettage with and without bone cement.

Gao ZH, Yin JQ, Xie XB, Zou CY, Huang G, Wang J, Shen JN - BMC Musculoskelet Disord (2014)

Bottom Line: The recurrence rates and functional scores associated with the different fillings were analyzed.The Musculoskeletal Tumor Society (MSTS) score for bone graft patients was 91.1%, which was significantly lower than that for patients treated with bone cement (94.7%).Better MSTS functional results were also observed in the bone cement group compared to the bone graft group.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedics, First Affiliated Hospital of Sun Yat-Sen University, 58# zhongshan 2 road, Guangzhou 510080, P,R, China. shenjingnan@126.com.

ABSTRACT

Background: Aggressive curettage has been well established for the treatment of giant cell tumors (GCTs) of the bone. The purpose of this study was to review our experience and evaluate the role of different implant materials in patients with GCTs of the extremities after aggressive curettage.

Methods: A total of 119 patients with GCTs of the long bone were treated at the First Affiliated Hospital of Sun Yat-Sen University between 2004 and 2009. We excluded patients presenting metastases, recurrent tumors, and soft tissue involvement and those with Jaffe pathological grade III. The remaining 65 patients were treated with aggressive curettage using a bone graft or bone cement to fill the cavity. The recurrence rates and functional scores associated with the different fillings were analyzed.

Results: Aggressive curettage and bone grafting was performed in 34 cases (52.3%), and aggressive curettage with bone cement was performed in 31 cases (47.7%). The overall recurrence rate after the aggressive intralesional procedures was 35.3% with bone grafting and 12.9% when bone cement was used as an adjuvant filling. The recurrence rate following aggressive curettage and bone grafting was higher than that following aggressive curettage with cement (p = 0.038). The Musculoskeletal Tumor Society (MSTS) score for bone graft patients was 91.1%, which was significantly lower than that for patients treated with bone cement (94.7%).

Conclusions: The use of bone cement was associated with a significantly lower recurrence rate than bone grafting following aggressive intralesional curettage to treat benign giant cell tumors of the long bone. Better MSTS functional results were also observed in the bone cement group compared to the bone graft group.

Show MeSH

Related in: MedlinePlus

Different MRI findings between bone grafts and bone cement group after agreessive curettage during follow up. The coronal T1WI (A) and coronal fat-suppressed T2WI (B) showed that the band signal around the area filled with bone cement. No similar MRI findings in the bone grafting group (C and D).
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
getmorefigures.php?uid=PMC4196200&req=5

Fig4: Different MRI findings between bone grafts and bone cement group after agreessive curettage during follow up. The coronal T1WI (A) and coronal fat-suppressed T2WI (B) showed that the band signal around the area filled with bone cement. No similar MRI findings in the bone grafting group (C and D).

Mentions: Six patients have been underwent MRI examination during follow up with an average of 9.8 months (6–14 months), 4 in the bone graft group and 2 in the cement group. An abnormal banded signal around the area filled with bone cement was found in the two cement group cases (Figure 4A,B). Howerer, there was no similar MRI findings in the bone grafting group (Figure 4C,D).Figure 4


Local control of giant cell tumors of the long bone after aggressive curettage with and without bone cement.

Gao ZH, Yin JQ, Xie XB, Zou CY, Huang G, Wang J, Shen JN - BMC Musculoskelet Disord (2014)

Different MRI findings between bone grafts and bone cement group after agreessive curettage during follow up. The coronal T1WI (A) and coronal fat-suppressed T2WI (B) showed that the band signal around the area filled with bone cement. No similar MRI findings in the bone grafting group (C and D).
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4196200&req=5

Fig4: Different MRI findings between bone grafts and bone cement group after agreessive curettage during follow up. The coronal T1WI (A) and coronal fat-suppressed T2WI (B) showed that the band signal around the area filled with bone cement. No similar MRI findings in the bone grafting group (C and D).
Mentions: Six patients have been underwent MRI examination during follow up with an average of 9.8 months (6–14 months), 4 in the bone graft group and 2 in the cement group. An abnormal banded signal around the area filled with bone cement was found in the two cement group cases (Figure 4A,B). Howerer, there was no similar MRI findings in the bone grafting group (Figure 4C,D).Figure 4

Bottom Line: The recurrence rates and functional scores associated with the different fillings were analyzed.The Musculoskeletal Tumor Society (MSTS) score for bone graft patients was 91.1%, which was significantly lower than that for patients treated with bone cement (94.7%).Better MSTS functional results were also observed in the bone cement group compared to the bone graft group.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedics, First Affiliated Hospital of Sun Yat-Sen University, 58# zhongshan 2 road, Guangzhou 510080, P,R, China. shenjingnan@126.com.

ABSTRACT

Background: Aggressive curettage has been well established for the treatment of giant cell tumors (GCTs) of the bone. The purpose of this study was to review our experience and evaluate the role of different implant materials in patients with GCTs of the extremities after aggressive curettage.

Methods: A total of 119 patients with GCTs of the long bone were treated at the First Affiliated Hospital of Sun Yat-Sen University between 2004 and 2009. We excluded patients presenting metastases, recurrent tumors, and soft tissue involvement and those with Jaffe pathological grade III. The remaining 65 patients were treated with aggressive curettage using a bone graft or bone cement to fill the cavity. The recurrence rates and functional scores associated with the different fillings were analyzed.

Results: Aggressive curettage and bone grafting was performed in 34 cases (52.3%), and aggressive curettage with bone cement was performed in 31 cases (47.7%). The overall recurrence rate after the aggressive intralesional procedures was 35.3% with bone grafting and 12.9% when bone cement was used as an adjuvant filling. The recurrence rate following aggressive curettage and bone grafting was higher than that following aggressive curettage with cement (p = 0.038). The Musculoskeletal Tumor Society (MSTS) score for bone graft patients was 91.1%, which was significantly lower than that for patients treated with bone cement (94.7%).

Conclusions: The use of bone cement was associated with a significantly lower recurrence rate than bone grafting following aggressive intralesional curettage to treat benign giant cell tumors of the long bone. Better MSTS functional results were also observed in the bone cement group compared to the bone graft group.

Show MeSH
Related in: MedlinePlus